PT  - JOURNAL ARTICLE
AU  - Waleed Brinjikji
AU  - Giuseppe Lanzino
AU  - Harry J Cloft
TI  - Transvenous embolization of a posterior condylar canal fistula causing pulsatile tinnitus
AID  - 10.1136/neurintsurg-2020-016280
DP  - 2021 Jul 01
TA  - Journal of NeuroInterventional Surgery
PG  - 680--680
VI  - 13
IP  - 7
4099  - http://jnis.bmj.com/content/13/7/680.short
4100  - http://jnis.bmj.com/content/13/7/680.full
SO  - J NeuroIntervent Surg2021 Jul 01; 13
AB  - Dural arteriovenous fistulas of the skull base commonly present with pulsatile tinnitus. In our experience, transvenous embolization of dural arteriovenous fistulas of the skull base represents a safe and effective treatment modality due to its precision in treatment of the site of convergence of all feeding arteries and the low risk of ischemic complications. We present a case of an adult patient who presented to our institution with pulsatile tinnitus several months following a motor vehicle accident. Cerebral angiography demonstrated a dural arteriovenous fistula at the junction of the posterior condylar vein and suboccipital venous plexus supplied by branches of the vertebral artery, occipital artery, and ascending pharyngeal artery. In this operative video we demonstrate this technique and provide an in-depth discussion of our treatment decision-making process and the anatomical considerations involved in treating this lesion.Video 1